| NPI | 1558572289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C KNOX MCMILLAN Periodontist 919-781-6217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 3581) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-09-04 |