| NPI | 1770644858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KIRK WILKIE President 919-481-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 5535) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 5540) |
| 122300000X Dentist (Licence: NC 7635) | |
| 122300000X Dentist (Licence: NC 7646) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |