| NPI | 1689019945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEAN MICHELLE ANDERSON President/Owner 919-825-1795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 8755) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |