| NPI | 1275740854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS W ELLIS President 919-968-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3671) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-06-18 |