| NPI | 1700948767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LECANN Owner 919-789-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 7000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: 6970) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-04-04 |