| NPI | 1649672601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY WILLIAM SOCKWELL Owner 919-968-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5799) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |