NPI | 1366682361 |
---|---|
Entity Type | Organization |
Authorized Contact | PERRY LEE JEFFRIES Dds Owner 336704-282-9961 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 6832) |
Enumeration Date | 2009-03-03 |
Last Update Date | 2009-03-03 |