| NPI | 1346419322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLIFFORD KIRK Owner 910-497-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 6042) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |