| NPI | 1588748685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNNE MCELHANEY Doctor 336-584-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5733) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |