| NPI | 1649611500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELBERT LEE JOHNSON Dentist/Owner 919-734-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 2419) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |