| NPI | 1346628187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY W. DAVIS President 910-319-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 054140) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2016-07-11 |