| NPI | 1487710794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MONTEITH President 336-983-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4378) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |