| NPI | 1154662369 |
|---|---|
| Doing Business As | GASTON FAMILY HEALTH SERVICES DENTAL |
| Entity Type | Organization |
| Authorized Contact | KAREN F. EDWARDS Dental Business Administrator 704-862-6182 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |