| NPI | 1245394154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBINSON Owner 828-277-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NC 5950) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |