| NPI | 1063694503 |
|---|---|
| Doing Business As | UNIVERSITY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT MILTON SELDEN Manager 704-992-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 6877) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-07-08 |