| NPI | 1811074339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD GREGG CAMPEN CEO 252-354-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5479) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401006461) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |