| NPI | 1417977950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HOLLAND MOORE Owner 704-377-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 5518) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |