NPI | 1235319021 |
---|---|
Entity Type | Organization |
Authorized Contact | LLOYD THOMAS BISHOP Owner/Dentist 910-577-7775 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6004) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2007-11-08 |