| NPI | 1740447002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH W GIBBS President 252-633-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC NC3550) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |