| NPI | 1023556230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHA STEELE MITCHELL Dentist 704-948-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1000645) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |