| NPI | 1205551017 |
|---|---|
| Doing Business As | FAMILY DENTISTRY ON MONTFORD |
| Entity Type | Organization |
| Authorized Contact | MARY CHAFFIN Director 704-997-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2024-06-11 |