| NPI | 1841142213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHA STEELE MITCHELL Owner/Dds 704-948-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-02-10 |
| Last Update Date | 2026-02-10 |