NPI | 1912024308 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SMALL Owner 828-433-1242 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NC 7232) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2021-01-19 |