| NPI | 1477931061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID AXEL NORSTEDT Dentist 251-342-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4455) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |