| NPI | 1164693750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WESLEY SHELTON Owner 919-383-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3307) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |