| NPI | 1245368620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PLUMMER RAY CHAVIS President Owner 910-276-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4839) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-02-15 |