| NPI | 1780725465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN D. RUFF Office Manager 910-483-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: NC 4588) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |