| NPI | 1205930765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH J. BENSON Owner 919-387-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NC 6621) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |