| NPI | 1922480060 |
|---|---|
| Other Name | MUNDO MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | BLAKE CARSON KINGSBURY Dr. Blake Kingsbury, D.M.D 704-825-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 8552) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |