| NPI | 1619309143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPURGEON W WEBBER Owner/President 704-247-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5647) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |