| NPI | 1417151747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRYL A DAVIS Dentist 252-247-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6623) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |