| NPI | 1558537399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TRAHEY MANER President / Owner 252-441-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 7304) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |