| NPI | 1215109426 |
|---|---|
| Doing Business As | ADVANCED DENTISTRY OF BLAKENEY AND MATTHEWS |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LATHAM PHELPS Co President 704-845-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 7648) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |