| NPI | 1528312600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE G. DAVIDSON II President 704-663-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7363) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |