| NPI | 1811137581 |
|---|---|
| Other Name | CIHA SURGEON |
| Entity Type | Organization |
| Authorized Contact | CASEY COOPER CEO 828-497-9163 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 5906518) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |