| NPI | 1396818696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY E MICHELS President 252-752-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4795) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |