| NPI | 1285516526 |
|---|---|
| Doing Business As | FAMILY DENTAL HEALTH OF KANNAPOLIS |
| Entity Type | Organization |
| Authorized Contact | BETH L ILLSLEY Insurance Director 864-282-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |