| NPI | 1154981371 |
|---|---|
| Doing Business As | CAROLIN KIDS DENTISTRY 2 |
| Entity Type | Organization |
| Authorized Contact | BEVIN KILEY MALLEY Owner/Dentist 704-883-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |