| NPI | 1710158456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDON F SLOAN President Sec 919-258-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3831) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 8400) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |