| NPI | 1992881254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE C POLLOCK Dentist 910-259-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7419) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 7419) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2025-05-08 |