| NPI | 1710450192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATOUSA B SAFAVI Dentist/Owner 919-428-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-09-12 |