| NPI | 1912179706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPURGEON WILLARD WEBBER Dentist/Owner 704-332-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5647) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-07-07 |