| NPI | 1497969588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CHARLES BROWN President 336-765-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5475) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |