| NPI | 1639506157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J GASKINS President 252-903-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7980) |
| Enumeration Date | 2013-09-29 |
| Last Update Date | 2022-05-14 |