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 |