| NPI | 1306902416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DAVIS DOUGLASS Owner 910-323-8254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3344) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2010-09-09 |