| NPI | 1902817851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT SCULLY President 828-255-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |