NPI | 1063581387 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS GLENN OWENS President 828-754-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 4241) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |