| NPI | 1568438091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HENRY BAILEY President 336-765-5374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 4994) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-08-22 |