| NPI | 1871504464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE B EVANS Dentist 910-893-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5011) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |