| NPI | 1639686736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON JOSEPH BLAKE Owner/Dentist 828-442-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 8380) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |