| NPI | 1821288549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN ANDERSON Office Manager 910-322-2517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 6685) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |