| NPI | 1114690880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MORGAN BITLER KEYSER Orthodontist/Practice Owner 919-612-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |