| NPI | 1720283476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA GATLIN WARREN Financial Coordinator 252-636-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 5760) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2017-02-13 |