| 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 |