| NPI | 1437321296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY JAMES SEMMEL President 910-509-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NC 200101495) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2011-08-05 |