NPI | 1457437436 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT JOSEPH HILL President 704-896-8452 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NC 5915) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-08-22 |