| NPI | 1235427485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA N ALEXANDER President 919-360-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN18362) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2013-01-04 |