| NPI | 1922293521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN SUZANNE MANCHESTER Office Manager 919-380-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7602) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 7649) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2008-06-18 |