| NPI | 1538870795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MATTHEW DORION President/Periodontist 919-621-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2022-12-08 |