| NPI | 1518411974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTEL VAN OOSTENDORP Owner 828-707-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 8913) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |