| NPI | 1215059597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E RUDNICKE President 336-768-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 7543) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-09-03 |