| NPI | 1376569624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL THOMAS MACON SAPP Dds/Vice President 919-489-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 2106) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |