NPI | 1649436825 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK HENSLEY Dentist 704-735-8207 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC NC6676) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC NC3717) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2009-05-13 |