| NPI | 1821292210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OREN JERRY HILL Owner 704-873-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 4205) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-11-06 |