| NPI | 1144492836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH FRAZIER NOVAK Orthodontist 336-884-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2010-12-14 |