| NPI | 1467642082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON THOMAS GLADWELL CEO/ Orthodontist 919-923-8513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NC 7981) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |