| NPI | 1487823811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ENNEIS JAMISON President 910-763-2185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 4361) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |