| NPI | 1427461987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY L JEFFRIES Owner 336-230-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 6832) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |