| NPI | 1720495930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE COLLIER Dentist 919-414-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7903) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |