| NPI | 1740447465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GUEST BURNETT President 336-760-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 3900) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |