| NPI | 1750169595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY MORA Oral And Maxillofacial Pathologist 919-523-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 207ZC0500X Pathology, Cytopathology | |
| 207ZI0100X Pathology, Immunopathology | |
| 207ZP0007X Pathology, Molecular Genetic Pathology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 207ZP0213X Pathology, Pediatric Pathology | |
| 208600000X Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QD0000X Clinic/Center, Dental | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |