| NPI | 1962528893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT S. DAFT Partner 919-441-3925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 22335) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |