| NPI | 1194219139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI JANABI Owner 919-665-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: VA 0401415327) |
| Additional Taxonomies | 122300000X Dentist |
| 1223D0004X Dentist Dentist Anesthesiologist | |
| 1223P0106X Dentist Oral and Maxillofacial Pathology | |
| 1223P0300X Dentist Periodontics | |
| 1223P0700X Dentist Prosthodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-10-11 |