NPI | 1912136664 |
---|---|
Entity Type | Organization |
Authorized Contact | SAWNSURAE ABDUL-HAKIM Office Manager 704-405-5690 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 8681) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NC 7528) |
1223G0001X Dentist General Practice (Licence: NC 8336) | |
1223G0001X Dentist General Practice (Licence: NC 8243) | |
Enumeration Date | 2009-07-02 |
Last Update Date | 2009-07-02 |