| NPI | 1992900674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN MARTIN HOLDER Partner 336-765-9154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5154) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |