| NPI | 1386681625 |
|---|---|
| Doing Business As | DISTINCTIVE DENTISTRY OF CHARLOTTE |
| Entity Type | Organization |
| Authorized Contact | MARY BLANKENSHIP Office Manager 704-540-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2021-05-11 |