| NPI | 1457722746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERON NEGASH ANDEMICHAEL President 910-984-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9660) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |