| NPI | 1326363094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY ALAN BROOKS Coowner 919-499-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7683) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8090) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-06-10 |