| NPI | 1609074186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GRAY CARAWAN Dentist 252-745-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4328) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |