| NPI | 1104012269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISHWAR R BHAGWANDASS President 252-537-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 5794) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |