| NPI | 1427330992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JOSEPH HANNON Doctor/Owner 704-865-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 4351) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |