| NPI | 1801053475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER NIXON REYNOLDS President 336-768-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 3599) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |