| NPI | 1124457817 |
|---|---|
| Doing Business As | MOORESVILLE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LUCENDA HARRIS Credentialing & Contracting Coordin 980-729-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2021-06-16 |