NPI | 1063415032 |
---|---|
Doing Business As | PARK CEDAR DENTISTRY |
Entity Type | Organization |
Authorized Contact | SUMMER L CALDWELL Partner 704-752-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7809) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 9488) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2015-02-10 |