| NPI | 1447370614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD G ENGSTROM Orthodontist 919-870-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 3915) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |