| NPI | 1912373242 |
|---|---|
| Doing Business As | DISTINCTIVELY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KYLE W TAYLOR Member Manager 704-560-3582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 5190) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2016-06-01 |