| NPI | 1750823746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZIR AHMAD Manager 919-783-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NC 8564) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2020-09-16 |