| NPI | 1265605851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ANTONIO CHAMORRO President 704-341-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NC 7743) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |