| NPI | 1730696329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MAURICE COX Owner 704-678-3748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6810) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2019-02-21 |