| NPI | 1811174352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS FORREST DEGROOTE Oral Surgeon 910-452-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 4050) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |