| NPI | 1881791309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JEFFREY LOWE Dentist President Of Corporation 252-443-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |