| NPI | 1255305272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY GIBBY Npi Coordinator 828-497-9163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 7937) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |