| NPI | 1619205721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN O'HEARN Practice Owner 828-298-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7561) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |