| NPI | 1528273356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G. PLAGE President 910-762-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC NC5100) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |