| NPI | 1831251164 |
|---|---|
| Other Name | IMPLANT AND GENERAL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SIMON P MELCHER President 919-782-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 7635) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 5535) |
| 122300000X Dentist (Licence: NC 5540) | |
| 122300000X Dentist (Licence: NC 7646) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-11-21 |