| NPI | 1194135517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY S HARRISON Member Manager 828-255-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 9663) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |