| NPI | 1316105398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BUTLER LESTAGE Manager 828-505-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 7938) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |