NPI | 1700202066 |
---|---|
Entity Type | Organization |
Authorized Contact | TONIA LEWIS Practice Administrator 919-471-9106 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5320) |
Enumeration Date | 2014-03-11 |
Last Update Date | 2014-03-11 |