| NPI | 1356546451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KRUPA Office Manager 919-467-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 4289) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-07-09 |