| NPI | 1417144015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ASHLEY FAUCETTE Dentist Owner 704-542-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 6336) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |