| NPI | 1235316050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERINA MARGUERITE BURRILL Office Manager 704-554-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7364) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |