| NPI | 1023326287 |
|---|---|
| Doing Business As | CAROLINA KIDS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BEVIN KILEY MALLEY Pediatric Dentist 704-790-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8238) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |