| NPI | 1841601614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGUYEN TRI NGUYEN Dentist 704-910-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8687) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2016-02-09 |