| NPI | 1760720387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K C BYERS Office Manager 251-295-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4502) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |