| NPI | 1164583209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD F DEST President 704-547-1279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5283) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |