| NPI | 1598186132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLU AYOOLA OYEGUNWA President 910-484-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 9306) |
| Enumeration Date | 2013-12-28 |
| Last Update Date | 2013-12-28 |