| NPI | 1831488493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL MATTHEW NELSON Owner 919-489-0497 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7158) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |