| NPI | 1275052698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITAL PATEL Office Leader 919-267-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8837) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-07-21 |