| NPI | 1225417181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRAM REID HART Dentist 252-638-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4775) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |