| NPI | 1487683389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE CATES REYNOLDS Office Manager 252-237-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6555 and 6678) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |