| NPI | 1154643344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY P COBLE Office Manager 336-887-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7499) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |