| NPI | 1316442452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY BRITT Practice Administrator 919-222-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NC 8223) |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2022-10-05 |