| NPI | 1457457038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DAVID GOVER Dentist 919-782-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6934) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 6986) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |