| NPI | 1003085895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ANN HARRIS Administrative Assistant 704-971-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7458) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |