| NPI | 1164947552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILSON WOODFORD Dentist 910-486-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 5466) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |