| NPI | 1912011362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN THOMAS MIMS Owner 828-837-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5614/6938) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |