| NPI | 1841523487 |
|---|---|
| Doing Business As | DEST FAMILY DENTISTRY OF LOCUST |
| Entity Type | Organization |
| Authorized Contact | RICHARD F DEST Member/Manager 704-737-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 5283) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NC 6764) |
| 1223G0001X Dentist General Practice (Licence: NC 8726) | |
| 1223G0001X Dentist General Practice (Licence: NC 6442) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |