| NPI | 1710137559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RYAN MCCLURE President 919-786-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 8662) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |