| NPI | 1235313065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY H HOUSER Office Manager 704-732-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 3135) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |