| NPI | 1821124256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIS KNOX LIST President 919-682-5327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 5687) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-07-29 |