NPI | 1124076815 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM MAC BATCHELOR Pres 252-237-3381 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 5068) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2010-07-06 |