NPI | 1861930273 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN HARLOW Owner/Dentist 704-588-1515 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 97431) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-06 |