| NPI | 1184766990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT L. BROOKS President 336-885-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3653) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |