| NPI | 1154538304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LECANN Owner 919-783-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 6970) |
| 1223G0001X Dentist, General Practice (Licence: NC 7033) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-05-02 |