NPI | 1083834840 |
---|---|
Other Name | HEALTHY SMILES FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | HORACE STAINBACK Secretary/Treasurer 704-720-0692 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6637) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2010-03-22 |