| NPI | 1891974986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN SUE KAZEMIAN Rdh 704-289-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6447) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |