| NPI | 1952450546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JESSEE MORKUNAS Office Manager 919-231-6024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6253) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-07-14 |