| NPI | 1962808238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANBEC M DESHIELD Dentist/Owner 336-288-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 8822) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |