| NPI | 1255861993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL RENEE COX President/Orthodontist 252-291-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |