NPI | 1750786570 |
---|---|
Doing Business As | STELLAR DENTAL |
Entity Type | Organization |
Authorized Contact | NATALIE CLAIRE MARTINEZ-ROGERS General Dentist/Owner 704-547-1199 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9657) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 11171) |
124Q00000X Dental Hygienist (Licence: NC 9547) | |
Enumeration Date | 2014-10-23 |
Last Update Date | 2021-04-20 |