| NPI | 1912977802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RALPH VINTON Partner 252-247-2258 |
| Organization Subpart ? | |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NC 4872) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2010-08-16 |