| NPI | 1902959646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE ANDERSON President 704-663-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 6793) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-10-29 |