| NPI | 1376747469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA NICHOLS ELDERKIN Owner, President 919-847-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 5662) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-01-08 |