| NPI | 1881797066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALYN PAIGE LUTZ-CRAVER President 704-482-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7628) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2009-10-26 |