| NPI | 1124205646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY FOUNTAIN FUTRELL Corporate Secretary 910-353-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 6432) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |