| NPI | 1043590425 |
|---|---|
| Other Name | BLUE RIDGE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DAN KNECHTEL Owner 828-575-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NC 7622) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |