| NPI | 1275705097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D MCNUTT Orthodontist 919-451-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 7787) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2010-04-13 |