| NPI | 1104927912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANTHONY MORAN President 919-468-9775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NC 6367) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NC 6320) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-08-02 |