| NPI | 1801820055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK STEVENS LAFEVERS President Owner 919-736-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC NC3368) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |