| NPI | 1902012792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH K. BLANTON Insurance Specialist 919-383-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 3789) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |