| NPI | 1609235183 |
|---|---|
| Doing Business As | UNION PERIODONTICS & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RICHARD OFFUTT Owner 704-366-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 4673) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |