| NPI | 1902662687 |
|---|---|
| Doing Business As | PROMENADE CENTER FOR DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DUC TANG Doctor/Owner 704-321-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |