| NPI | 1639511611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM EISBERG Owner 919-368-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 8267) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |