| NPI | 1366971384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L YOUNG President 704-587-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NC 7821) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |