| NPI | 1952497349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K. ALEX POOLE Owner/President 336-662-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 6081) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |