| NPI | 1659664084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD K HUSSEIN Manager 704-277-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6897) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2012-01-24 |