| NPI | 1770642803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD K HUSSEIN General Manager 704-548-8563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6897) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |