| NPI | 1912189382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVIS ALLEN Dentist 910-862-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3762) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |