| NPI | 1932371697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LLOYD PHILLIPS President 910-822-8221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 6772) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |