| NPI | 1760695589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES U MAUNEY, JR Owner 919-933-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 6242) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 6128) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |