| NPI | 1699952044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BRYAN GARRETT Owner/Dentist 910-208-6721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6341) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2025-10-20 |