| NPI | 1316639446 |
|---|---|
| Doing Business As | CARE SOURCE MOBILE |
| Entity Type | Organization |
| Authorized Contact | SHAWNA ALLEN Administrator 704-380-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-09-25 |