| NPI | 1902753684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LUKE CURRENT Pediatric Dentist / Owner 704-798-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-03-12 |