| NPI | 1134305683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R MCGRATH President 704-896-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 6243) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2010-06-16 |