| NPI | 1548547169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE P GATTI President 910-944-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6521) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 8524) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |