| NPI | 1619145158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRUS F. LEE President 252-243-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 600220133) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |