| NPI | 1356860324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT R. HENSON President/Owner 704-637-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 10610) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2019-07-04 |