| NPI | 1497900559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN ABRAHAM GODEL Dds Pa 704-847-4332 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7564) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 4736) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2014-03-19 |