| NPI | 1912100033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PRINCE ROBERTSON President 252-726-1461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5421) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |