NPI | 1568555969 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY JONES CARTER President/Dds 910-395-1585 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 7294) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 5527) |
122300000X Dentist (Licence: NC 7989) | |
Enumeration Date | 2006-09-30 |
Last Update Date | 2012-08-02 |