| NPI | 1245409671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BEN MALIN President 336-629-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6059) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |