| NPI | 1841478245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES AARON DEIGERT Owner 910-346-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC NC7574) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |