NPI | 1245574318 |
---|---|
Doing Business As | DENTIST-SALUD |
Entity Type | Organization |
Authorized Contact | CLARA LUCIA NUNEZ-ROMERO Owner/Dentist 704-497-5834 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 9221) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NC 9221) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |