| NPI | 1811169808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN KANIA President 336-629-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 5610) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |