| NPI | 1689732505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN L TUMBARELLO Office Manager 336-619-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6885) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-06-11 |