| NPI | 1164755435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE M WHEELER President 336-659-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC NC7387) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |