| NPI | 1609759539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESA PEDROZA Clinical Director 919-787-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |