| NPI | 1255751616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BURNS Dentist 910-799-9059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 8451) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 7963) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |