| NPI | 1770836819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE A LANDERS Dentist/Owner 704-332-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 8895) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |