| NPI | 1124235205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. IGNELZI Owner 336-286-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NC 5606) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-08-16 |