NPI | 1235596255 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN BARBARO Dentist/Owner 919-965-8660 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9121) |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-01-21 |