| NPI | 1386821064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIE M DAVIS Office Manger 704-895-3858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6673) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |