| NPI | 1477834992 |
|---|---|
| Doing Business As | BELVEDERE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD DEST Member/Manager 704-790-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-10-12 |