| NPI | 1477729630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD WAYNE HARGIS President 336-226-8069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4646) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |