| NPI | 1134237837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD V HICKMAN President 910-738-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5398) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |