| NPI | 1215026943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON J KINDRACHUK Partner 919-847-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7297) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-02-23 |