NPI | 1518161090 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY S HOWELL Sole Proprietor 919-471-1502 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 3794) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2020-08-22 |