| NPI | 1073784922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON J ROZNIK Dentist 704-375-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6775) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |