| NPI | 1386824092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY E. CALLISON President 704-237-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 7706) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |