| NPI | 1104303668 |
|---|---|
| Doing Business As | DEST FAMILY DENTISTRY OF KINGS MOUNTAIN |
| Entity Type | Organization |
| Authorized Contact | RONNIE GEORGE Member/Organizer 704-739-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |