| NPI | 1356417828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA KELLY MANSFIELD Office Manager 919-781-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NC 6528 Dr Sopko) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NC 5880 Dr Stancill) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |