| NPI | 1205050168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER N BALLINGER Partner 336-721-7921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 7403) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-06-21 |