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 |