| NPI | 1831497809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JAVONNAH COBHAM Doctor 336-275-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6970) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-04-11 |