| NPI | 1477727238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM IRA KINCAID Owner And Dentist 252-636-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6289) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |