| NPI | 1285055848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA KAY FIX Insurance Manager 910-485-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7446) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2019-10-25 |