NPI | 1366857989 |
---|---|
Entity Type | Organization |
Authorized Contact | MILAGROS DIAZ Owner/Dentist 704-218-2132 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 9035) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NC 8914) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2014-06-23 |