| NPI | 1609047356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MARIE WADE Office Manager 919-383-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5677) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |