| NPI | 1275218737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA SEVENSKI Office Manager 252-474-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |