NPI | 1154496834 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK JEFFERSON POORE President 704-663-1354 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 3593) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2023-03-07 |