| 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 |