| NPI | 1770755464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FOXX Practice Manager 919-249-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 5646) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |