NPI | 1912027244 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY F WEST Periodontist 704-442-2441 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 4419) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |