| NPI | 1063797462 |
|---|---|
| Doing Business As | MONROE FAMILY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANASTASI J. ROUPAS Partner / Organizer 704-568-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 6304) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 8215) |
| 1223G0001X Dentist General Practice (Licence: NC 5545) | |
| 1223G0001X Dentist General Practice (Licence: NC 4121) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |