| NPI | 1265632327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KAKAVAS President 336-228-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 0729) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |