| NPI | 1376695924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E BASS President 919-362-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7106) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |