NPI | 1275806762 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL L. SCHOLTZ Director, Community Dental Practice 252-737-7029 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC NC9053) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2012-02-15 |