| NPI | 1275734048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L HARDEE Owner President 252-756-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 4645) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |