| NPI | 1164571550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANK RUOCCO President Dds 704-843-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7738) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |