| NPI | 1528278140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W LINEBERRY Dentist 704-489-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7148) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-10-11 |