| NPI | 1346722550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY BERNARD SMITH Dentist 919-467-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |