| NPI | 1912468463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PARELLI Oral Surgeon/Owner 704-289-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2021-10-26 |