NPI | 1245633650 |
---|---|
Doing Business As | CONCORD PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | KERRY ANZENBERGER DOVE Pediatric Dentist 704-795-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8845) |
Enumeration Date | 2014-09-30 |
Last Update Date | 2014-09-30 |