| NPI | 1407584188 |
|---|---|
| Doing Business As | EMPIRE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JAMINE IFEDI Dentist 704-301-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-12-07 |