| NPI | 1043712854 |
|---|---|
| Doing Business As | WATERSIDE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | BRYAN TODD PERSINGER President 704-951-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |