| 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 |