NPI | 1588717912 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICIA M DUFFY Credentialing Manager 919-295-2757 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4785) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2022-05-04 |