| NPI | 1891068706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS D. GASKIN Practice Owner 252-435-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5986) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |