| NPI | 1518045541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ELAINE BROWN President 356-286-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 6206) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |