| NPI | 1841350824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY-JO PARDON President 336-993-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5538) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-04-11 |