| NPI | 1063736114 |
|---|---|
| Doing Business As | DESTINATION DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SHARI L GRIGSBY-YOUNG General Dentist 704-504-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 7771) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |