| NPI | 1356386098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN H. MOORE Bookkeeper 919-731-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 1450) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |