| NPI | 1902084163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL OWEN DUCK President 336-760-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 4630) |
| Enumeration Date | 2008-02-09 |
| Last Update Date | 2008-02-09 |