NPI | 1295887669 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN WILLIAM CLAYTOR Owner 704-484-0531 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4754) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2020-08-22 |