| NPI | 1285709733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JMAES W ROKOS Owner, Secretary, Treasurer 704-982-6312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 5952) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |