| NPI | 1588741490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GREGORY MAYES President 919-460-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5732) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 5714) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-04-21 |