| NPI | 1881620375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN GRAY TUTTLE Dds P LLC 336-768-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 103620) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |