| NPI | 1952785859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA GUPTA Owner/Dentist 252-572-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 8300) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |