NPI | 1649480633 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY T WINGATE Secretary 919-329-0140 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7039) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2008-06-13 |