| NPI | 1861643678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SED Office Manager 919-846-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 5022) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-12-03 |