| NPI | 1306018080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A ODOM President Endodontist 919-233-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: NC 5622) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: LA 3995) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |