| NPI | 1922349125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUPRGEON W WEBBER Dds 704-247-4030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |