| NPI | 1659554335 |
|---|---|
| Doing Business As | LAKE NORMAN DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE H CARSON Officer Treasurer 704-489-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 8131) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2008-02-14 |