| NPI | 1588193049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MICHELE DRAPER Owner 704-254-2459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 10013) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-28 |