NPI | 1104072537 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIP BUTTS Vice President 919-809-0086 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4785) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2008-08-18 |