| NPI | 1306171392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LAVERNE HOLLEY Owner/Doctor 704-948-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7045) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |