| NPI | 1699118620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY NAM HOANG Dentist 336-236-9497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7288) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |