| NPI | 1497026058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI MICHELLE DAVIS President 919-782-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7533) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-09-10 |