| NPI | 1821262304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D PAYET Owner 704-364-7069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 6856) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2021-02-02 |