| NPI | 1295748549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY BERNARD SMITH Owner 919-467-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6471) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |