NPI | 1396970935 |
---|---|
Entity Type | Organization |
Authorized Contact | CANDACE ALLISON COLE Owner 704-938-4211 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8355) |
Enumeration Date | 2009-05-27 |
Last Update Date | 2009-05-27 |