| NPI | 1801068424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA COLE MAYO Vice President 919-736-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NC 2865) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |