NPI | 1790502946 |
---|---|
Doing Business As | GARDEN CITY DENTAL |
Entity Type | Organization |
Authorized Contact | MARY CHAFFIN Credentailing 704-997-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-09-20 |
Last Update Date | 2024-10-07 |