| NPI | 1861534950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GRIFFIN Authorized Official / Office Manage 704-291-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 5322) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-05-07 |