| NPI | 1760657670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER EDWARD SCHMIDTKE Dentist 704-892-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 7080) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |