| NPI | 1386746329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES GUDGER Manager 919-846-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7280) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |