| NPI | 1467658351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA G. CONLEY Owner 910-326-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6660) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2011-01-03 |