| NPI | 1609765064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK D O'NEIL Owner/Doctor 251-625-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-07 |