| NPI | 1487832960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN POU EARP President 252-756-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 7513) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |