| NPI | 1407129877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK DOUGLAS KING President 704-873-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 5157) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |