| 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 |