| NPI | 1679806228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARA BARTLEY-HERNANDEZ President 910-893-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8205) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |