| NPI | 1659011914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIN LAM President 704-839-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |