| NPI | 1295992717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER S WILLIAMS Owner 910-457-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 6894) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |