| NPI | 1346470549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WILLIAMS Member Manager 704-696-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 8746) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |