| NPI | 1447463310 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROGER DAVID URLAUB President 919-870-1201  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 6886)  | 
| Enumeration Date | 2007-05-08 | 
| Last Update Date | 2020-08-22 |