| NPI | 1871609107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB RICHARD REDDING President Owner 336-274-8386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5327) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |