| NPI | 1669037834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA NOELLE GROESCHEL Cco 704-978-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |