| NPI | 1578868600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON R ARNE President 910-762-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 6953) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 6953) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |