| NPI | 1881882710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISAL B ISAACS General Dentist 252-291-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 7617) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |