| NPI | 1538349568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY PUGH Clinic Manager 919-966-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5961) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2008-05-02 |