| NPI | 1659312304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT DUDLDY MONROE President 910-295-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6455) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |