| NPI | 1609209840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA GAY WILLIAMS Owner 704-636-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8296) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2019-01-03 |