| NPI | 1962886325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY M METCALF Sole Member 336-993-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8009) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |