| NPI | 1679254163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM V GIERIE Owner 910-256-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |