NPI | 1972687028 |
---|---|
Entity Type | Organization |
Authorized Contact | TY E HORNSBY President 828-693-4163 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 3936) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2008-08-15 |