| NPI | 1427516830 |
|---|---|
| Doing Business As | KANNAPOLIS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BHAVANA JAYARAM Dentist/Ownder 704-932-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2024-02-01 |