| NPI | 1215532817 |
|---|---|
| Doing Business As | CONCORD CENTER FOR FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JILLIAN SKEETERS WOODRUFF Dentist/Owner 704-787-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2021-01-11 |