| NPI | 1487950549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILEY SIMEON COZART Owner 828-884-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5073) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |