| NPI | 1780692970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M CLINARD President 704-864-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4182) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-07-09 |