| NPI | 1649427089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA SCOTT MERHOFF Owner 336-659-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 6747) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 8628) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7595) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8552) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |