| NPI | 1952347437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT BENSON WOODARD Owner 252-291-7510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 3744) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-11-08 |