| NPI | 1326300740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN GIBSON MCCALL Owner/Member 910-373-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 7305) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-09-24 |