| NPI | 1558360974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINWOOD MARVIN LONG Dentist / Orthodontist 704-759-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 0138) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 0138) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2023-03-07 |