| NPI | 1013351824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ROSS PENLAND President 828-855-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 9170) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2014-01-13 |