| NPI | 1780403089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA NOELLE GROESCHEL VP Of Rcm 704-978-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |