NPI | 1063632644 |
---|---|
Doing Business As | MCNULTY & DANCAUSSE GENERAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRIAN PATRICK MCNULTY Partner 704-596-3186 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-26 |
Last Update Date | 2008-07-24 |