| NPI | 1558562231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO A. PRADO President 252-291-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NC 4245) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2011-11-18 |