| NPI | 1003951302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENDA LEE WELCH President 704-786-9123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4697) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |