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 |