| NPI | 1912092578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M. BARHAM President 336-629-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3422) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |