| NPI | 1841323169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFINEY TYLAINE HARPER Dental Director 919-705-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: NC 7093) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |