| NPI | 1619069663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS JOSEPH CUSUMANO President 919-819-4288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 7936) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-03-17 |