| NPI | 1831668565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. BANCROFT MCMURPHY Owner 251-660-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |