| NPI | 1285910455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP BUTTS VP Contracts And Development 919-863-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 4785) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |