| NPI | 1417543570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON T HERRING Member 828-324-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |