| NPI | 1013209485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LINKER Practice Manager 704-987-7996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7919) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |