| NPI | 1922155969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOFTIN President And Owner 336-288-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: NC 6152) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |