| NPI | 1881946069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSETTE H STORY Office Manager 704-263-4646 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8175) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |