| NPI | 1205257839 |
|---|---|
| Doing Business As | TOTAL DENTAL CARE OF LAKE NORMAN |
| Entity Type | Organization |
| Authorized Contact | RONNIE G DAVIDSON Manager 704-663-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 7363) |
| Enumeration Date | 2013-12-28 |
| Last Update Date | 2013-12-28 |