| NPI | 1467610865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PHILLIPS President 704-889-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 3390) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |