| NPI | 1922284470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE DANIEL CERQUEIRA Office Manager 910-458-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7597) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |