| NPI | 1265869374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROKOS Owner 704-982-6312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: NC 5952) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |