| NPI | 1548661150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH MCBRIDE Office Administrator 919-847-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 8785) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |