| NPI | 1508025495 |
|---|---|
| Doing Business As | EAST CHARLOTTE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH EARLE SULLIVAN Partner 704-568-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2012-06-07 |