| NPI | 1295294122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN MELISSA HAYNES Financial Coordinator 828-264-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |