| NPI | 1265603211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CLARK RABE Owner 336-626-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 4150) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |