| NPI | 1194930024 |
|---|---|
| Doing Business As | DEST FAMILY DENTISTRY AT GATEWAY |
| Entity Type | Organization |
| Authorized Contact | RICHARD F DEST Owner 704-547-1279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-03-18 |