| NPI | 1194005454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEVIN AIKEN Dentist/ Owner 910-895-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC NC6619) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |