| NPI | 1750702247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ PATEL Owner 919-550-8793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 7557) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 6215) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 5991) | |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |