NPI | 1275782252 |
---|---|
Entity Type | Organization |
Authorized Contact | DALTON PETER BROOKS Owner 910-674-3672 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6800) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2008-09-15 |