| NPI | 1467602672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN JEAN BRUGGERS President 919-858-8193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NC 5699) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 4167) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |