| NPI | 1255802674 |
|---|---|
| Doing Business As | GENESIS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STACEY ALSTON Dentist/Owner 704-594-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |