| NPI | 1326349556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ROBERT TREFZ President 704-861-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 4960) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |