| NPI | 1720465354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ANN KEELS Pediatric Dentist 919-619-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 5288) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |