| NPI | 1982725933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA WILLOUGHBY Financial Coordinator 919-866-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 5575) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |