| NPI | 1629210174 |
|---|---|
| Doing Business As | GFHS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT SPENCER Executive Director 704-853-5261 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2018-11-27 |