| NPI | 1881837300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN SNIPES POPE Credentialing Coordinator 919-639-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2016-05-12 |