| NPI | 1255482006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JEWSON Dentist ,Owner 336-299-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 5503) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |