| NPI | 1841647682 |
|---|---|
| Former Legal Business Name | DENTISTRY AT REA VILLAGE |
| Entity Type | Organization |
| Authorized Contact | TORI ANNE IRVINE Dentist/Owner 704-846-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 9275) |
| 122300000X Dentist (Licence: NC 7073) | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2025-02-28 |