| NPI | 1558510974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT LUDWIG SAINT JEAN President 704-334-2538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NC 8302) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |