| NPI | 1184914228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JEROD SADLER Dentist/Owner 336-272-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7481) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 7481) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |