| NPI | 1154564763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE ERSKINE FOULKES Dentist/Owner 336-272-8087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC 7603) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |