| NPI | 1265648950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWARD COGGINS Owner Dentist 919-832-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5800) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2014-04-01 |