| NPI | 1922034719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA P. ROBINSON Practice Manager 336-379-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 0502) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2012-06-28 |