| NPI | 1417114075 |
|---|---|
| Other Name | SANDRA M STOVALL, DDS |
| Entity Type | Organization |
| Authorized Contact | SANDRA MARIA STOVALL Owner 704-549-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 6750) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |