| NPI | 1861681629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A LONDON President 704-782-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 5057) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |