| NPI | 1295907574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER B SHEPHERD Orthodontist/Owner 336-627-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 004113) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |