| NPI | 1104354232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD GRENIER WHITE President 251-343-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4821) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-21 |