| NPI | 1295907855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOHN POCKAT President 704-364-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 5171) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |