| NPI | 1982637807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEL D ODEH Owner/Dentist 336-294-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6163) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-03-13 |