| NPI | 1578735080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA POWELL DAVIS Member/Manager 919-598-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7166) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-06-19 |