| NPI | 1780853911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESSA ANN STALLINGS Office Manager 919-876-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3797) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |