NPI | 1205234028 |
---|---|
Doing Business As | LANDMARK DENTISTRY OF MALLARD CREEK |
Entity Type | Organization |
Authorized Contact | ARMEN BALASANYAN Partner 704-347-2557 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 8861) |
Enumeration Date | 2014-12-10 |
Last Update Date | 2014-12-10 |