| NPI | 1487858460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ALLEN HUNTER Office Manager 828-277-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 5148) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NC 5148) |
| 305R00000X Preferred Provider Organization (Licence: NC 5148) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-07-09 |