| NPI | 1336077189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN RICHARD CROSS Owner/President 704-658-9109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2026-05-12 |
| Last Update Date | 2026-06-23 |