NPI | 1548590110 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA PIERPAN Secretary 910-353-3551 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6254) |
Enumeration Date | 2010-01-05 |
Last Update Date | 2010-01-05 |