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 |