| NPI | 1639390826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WOODARD Orthodonist 704-548-1653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 4421) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-07-23 |