| NPI | 1891154779 |
|---|---|
| Doing Business As | WAXHAW DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SIMON J ADIR Owner/Manager 704-243-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |