| NPI | 1265601249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LEJEAL Office Manager 919-488-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6588) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |