| NPI | 1720137060 |
|---|---|
| Doing Business As | DENTAL |
| Entity Type | Organization |
| Authorized Contact | LEONARD L. WOOD Health Director 704-216-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-07-21 |