| NPI | 1144651605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT THOMAS SCHEETZ Dentist/ Business Owner 910-457-5061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 5788) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 8925) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |