NPI | 1710467048 |
---|---|
Doing Business As | HICKORY DISTINCTIVE DENTISTRY |
Entity Type | Organization |
Authorized Contact | PRASHANT PATEL Owner 828-267-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 10441) |
Enumeration Date | 2018-08-16 |
Last Update Date | 2018-08-16 |