| NPI | 1922309384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE H WOOD Office Manager 910-259-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7785) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |