| NPI | 1578863510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BURNETTE NAOMI President 919-255-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6597) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2012-11-08 |