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 |