| NPI | 1437553237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINT TOOMEY Business Manager 251-342-7781 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 5750) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |