NPI | 1154593770 |
---|---|
Entity Type | Organization |
Authorized Contact | COLIN P. OSBORNE President 910-738-9396 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3703) |
Enumeration Date | 2008-03-25 |
Last Update Date | 2015-10-23 |