| NPI | 1477756211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT C BLANCHARD President 252-335-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 6124) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |