| NPI | 1396906780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRYAN HARRISON Owner 252-633-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 4047) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2024-05-03 |