| NPI | 1295009967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LEE REID President 336-778-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4677) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2013-07-17 |