| NPI | 1710182365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LOU HEMBY Dentist 910-457-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4065) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |