| NPI | 1730459538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HOKE FELLERS President 251-928-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5292) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2013-08-02 |