| NPI | 1144426024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOYLE Owner 336-996-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 8118) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NC 8119) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |