| NPI | 1205694866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ATLAS HUKILL Pediatric Dentist 704-458-2093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |