| NPI | 1184897167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ANDREW BRANDYBERRY Dentist/Owner 336-475-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 7959) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 2788) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2017-03-23 |