| NPI | 1407022742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J. KINCAID President 704-365-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 4079) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |