| NPI | 1134589849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HETAL AJIT AMIN-PATEL Dentist 704-633-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 7099 NC) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |