| NPI | 1174549422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA E LAWS Office Administrator 704-455-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5226) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-09-13 |