| NPI | 1518350305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BRADFORD BOYLES Owner/Dentist 919-847-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 8758) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 3649) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |