| NPI | 1609045335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA SIMMONS-BOYD President 704-376-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6088) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-08-15 |