| NPI | 1497831382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CHARLES LAMBERT President 251-343-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4173) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |