| 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 |