| NPI | 1033593314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLADE SAMUEL-CASH Secretary 704-465-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 1223G0001X) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |