| NPI | 1134599889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON KLINGENSMITH Dentist/Owner 919-515-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8511) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |