| NPI | 1437321148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ALEXANDER SLADEK Owner 704-545-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NC 4116) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |