| NPI | 1285392811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WEBB Financial COO Rdinator 910-251-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-09 |