| NPI | 1568713469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALLEN CROUCH Doctor 704-873-9641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9395) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |