| NPI | 1932253341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WAYNE GILREATH President 336-786-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 6035) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |