| NPI | 1467834689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BROOKS NEWTON Administrative Assistant 919-693-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 9725) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |