| NPI | 1487105136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH OGLETREE Dentist/ Owner 704-540-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 9841) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2018-05-16 |