| 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 |