| NPI | 1659303139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H. KINGERY Owner/Dentist 336-766-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 3468) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 5158) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |