| NPI | 1174728075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE ARTHUR ALFORD President 910-791-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7399) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 7400) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |