| NPI | 1457367260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SPERLING WILSON Dentist President Owner 704-482-3281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 5857) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NC 3230) |
| 1223G0001X Dentist General Practice (Licence: NC 8112) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |