| NPI | 1730373655 |
|---|---|
| Doing Business As | BALLANTYNE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SCOTT LOUIS WEINSTEIN President 704-752-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7083) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |