| NPI | 1558048611 |
|---|---|
| Doing Business As | MATTEWS DENTAL SPA |
| Doing Business As | MATTHEWS DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | SHAWNDA COLEMAN Office Manager 704-246-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-08-24 |