NPI | 1225129067 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM LEROY CHAMBERS Practice Owner 828-274-9220 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 4178) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7460) |
1223P0221X Dentist, Pediatric Dentistry (Licence: NC 6418) | |
1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7367) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 7367) | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2020-08-22 |