| NPI | 1689716599 |
|---|---|
| Doing Business As | INDIAN TRAIL DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RICHARD MARK HOLMES Owner 704-821-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC NC6039) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |