| NPI | 1285811398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN L. SULLIVAN Office Manager 919-787-9894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 6140) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |