| NPI | 1265457568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. DAVID FISHER Dentist 919-776-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3994) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-06-19 |