| NPI | 1114197399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY NEIL GAITHER Dentist Owner 704-873-8465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5212) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |