| NPI | 1164583506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HOWARD QUINLIVAN Owner 919-467-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7077) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |