NPI | 1215017454 |
---|---|
Former Legal Business Name | DRS. PELEAUX, BAILEY & WHITE |
Entity Type | Organization |
Authorized Contact | BRIANNA BECKMAN Dentist/Owner 704-365-2765 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6251) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 6196) |
1223G0001X Dentist, General Practice (Licence: NC 7503) | |
Enumeration Date | 2006-10-16 |
Last Update Date | 2020-09-17 |