| NPI | 1912170499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J MAYBERRY President 704-637-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4792) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |