| NPI | 1740464502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STEPHEN BELL President 704-484-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 4168) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |