| NPI | 1679765572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK L KEYSER Dentist 919-772-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 5926) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 2928) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |