| NPI | 1760780571 |
|---|---|
| Other Name | DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | PENELOPE STUBBS Executive Assistant 704-853-5294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |