| NPI | 1790778355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD J DENNISON President 910-944-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4629) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2022-07-21 |