| NPI | 1861874919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA VERA RESENDIZ Clinical Assistant Professor 919-428-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |