| NPI | 1285659763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WESLEY KULP President/Dentist 336-760-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3688) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 4677) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |