NPI | 1770794612 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN EVERETT CROSLAND Proprietor 704-484-0148 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC NC4891) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2018-06-21 |