| NPI | 1780080655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE STUTTS Owner/Surgeon 336-272-4583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 9065) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |