| NPI | 1235272311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN C HUFFMAN Owner President 704-637-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 7443) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |