| NPI | 1457453581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ALAN LISK President 919-870-6892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6746) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-02-02 |