| NPI | 1588842108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA SANTOS Practice Manager 919-416-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: NC 7266) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2010-04-19 |