| NPI | 1659408722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B MACOMSON President 704-867-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 3582) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |