| NPI | 1942471883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA L HARRELL Office Administrator 910-799-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5368) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |