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 |