NPI | 1588748685 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY LYNNE MCELHANEY Doctor 336-584-7004 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5733) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |