NPI | 1558048611 |
---|---|
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 |