| NPI | 1104232685 |
|---|---|
| Doing Business As | DENTAL CLINIC @ CIHA |
| Entity Type | Organization |
| Authorized Contact | CASEY M COOPER CEO 828-497-9163 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 8125) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |