| 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 |