| NPI | 1578659801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DAVIS Owner/Dentist 919-806-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 7271) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-02-13 |