| NPI | 1073782033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE K. MARSHALL Owner 704-636-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 6840) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2014-08-11 |