NPI | 1518449776 |
---|---|
Doing Business As | STELLAR DENTAL OF NODA |
Entity Type | Organization |
Authorized Contact | MELODY ALLISON Business Manager 704-688-7120 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: NC 9647) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 11171) |
Enumeration Date | 2018-09-05 |
Last Update Date | 2021-04-20 |