| NPI | 1467657569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M. CLIFTON Manager 919-471-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6020) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |