| NPI | 1477668143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MICHAEL VINES Dentist/Owner 336-342-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6612) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-09-17 |