| NPI | 1235846668 |
|---|---|
| Doing Business As | MCGILL FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DON HOLLOMAN CEO 704-792-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-29 |