| NPI | 1427490234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALLEY R WHITE Dentist 910-686-1869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7667) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 7276) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |