| NPI | 1437506946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEPHEN THOMPSON President 910-875-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 5462) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |