| NPI | 1508976440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE CLARK ANDERSON Dds 910-353-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 2996) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |