| NPI | 1477618643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S PINYAN Owner 336-760-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 2000013233607) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-01-17 |