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 |