| NPI | 1487044111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER GAUSE Dentist/Owner 910-762-5961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4346) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |