| NPI | 1659536522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BENSON Vice Dean 252-744-7400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 0066) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 0066) |
| 1223P0300X Dentist, Periodontics (Licence: NC 0066) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2009-01-16 |