| NPI | 1710031612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN SNIPES POPE Credentialing Coordinator 919-639-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4785) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2018-06-21 |