| NPI | 1003089400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK HENSLEY Dentist 704-735-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC NC6676) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC NC8685) |
| 1223G0001X Dentist, General Practice (Licence: NC 8664) | |
| 1223G0001X Dentist, General Practice (Licence: NC 8767) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2010-10-22 |