| NPI | 1093999682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE SAMUEL BRIGHT President 910-488-3259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6011) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2009-04-29 |