| NPI | 1821439670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY J WALDREP Manager 828-264-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 9463) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |