| NPI | 1316185234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN KUZMA Owner 910-392-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 6148) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |