| NPI | 1518015114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L'TANYA JOY BAILEY Orthodontist 336-886-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 5199) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-09-24 |