NPI | 1861689507 |
---|---|
Entity Type | Organization |
Authorized Contact | PARESH B PATEL Owner 828-754-7881 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 6332) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 6771) |
1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NC 8154) | |
Enumeration Date | 2007-09-26 |
Last Update Date | 2012-01-26 |