| NPI | 1437904075 |
|---|---|
| Doing Business As | LAVALLIERE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATRINA LAVALLIERE Owner Dentist 704-962-4215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-20 |