| NPI | 1285847012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT A. MCKISSICK President 919-481-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4668) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |