| NPI | 1295186039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA DENISE STONE Dentist 252-237-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 10392) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |