| NPI | 1881985398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE MOORE Business Office Manager 336-524-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 200001988472) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2023-06-08 |