| NPI | 1255499596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SMITH THOMPSON President 919-484-2617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7807, 7814) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-07 |