| NPI | 1801398060 |
|---|---|
| Doing Business As | LONGLEAF DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NINA THOMAS Owner 704-408-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |