| NPI | 1346349651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL WILLIAMS President 910-891-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC NC6614) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-03-24 |