NPI | 1396111647 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK T WINCHESTER Dentist Owner 252-247-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5372) |
Enumeration Date | 2015-08-20 |
Last Update Date | 2015-08-20 |