| NPI | 1891840534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH RAY TRIPP President 919-556-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6308) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |