| NPI | 1548938582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASTIN VICTORIA BARNES Orthodontist 252-230-7438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |