| NPI | 1356349591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY COLEY Administrative Supervisor 919-479-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 5471) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 3213) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 4783) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 4344) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 9600058) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2018-02-06 |