| NPI | 1295861193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL DOUGLAS HUME President 704-332-5089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7141) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |