| NPI | 1881869956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY A THURMOND Manager 919-782-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8353) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2010-03-26 |