| NPI | 1386678282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY BALDWIN Business Manager 919-345-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8655) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-03-07 |