| NPI | 1477718104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN THOMAS Office Manager 910-762-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 5268) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |