| NPI | 1780976720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAQUETTE President/Owner 704-737-9593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NC 4732) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |