| NPI | 1689947871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART O MILLER Owner 910-577-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NC 5846) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NC 5831) |
| 1223E0200X Dentist, Endodontics | |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2022-12-07 |