| NPI | 1275738833 |
|---|---|
| Other Name | CMC DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GREG GOMBAR Administrator 704-355-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |