| NPI | 1376553230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SEAN MOORING President 919-550-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 6595) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |