| NPI | 1750242038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN LOWE Orthodontist 336-226-8417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |