| NPI | 1427206051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHAEL SWEENEY President 251-454-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5419) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |