| NPI | 1962068700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN BARBARO Owner/Dentist 910-391-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-07-03 |