| NPI | 1134139371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANIAT A LAWAL President 910-944-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7374) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |