| NPI | 1689998304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG A LOMBARDO President 910-762-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NC 2330) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |