| NPI | 1760841076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISSY L BROWN Business Manager 704-289-9519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4553) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |