| NPI | 1609076074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CONRAD DILLARD President 919-453-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NC 7970) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2009-05-11 |