| NPI | 1508307539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE ELMORE Owner/Dentist 252-291-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NC 09596) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |