| NPI | 1629730130 |
|---|---|
| Doing Business As | IREDELL PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KAROL MANCHOLA Regional Manager 828-635-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |