| NPI | 1922598275 |
|---|---|
| Doing Business As | LAKE NORMAN PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JULIE C. SPIVEY Owner/Manager 205-540-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 10515) |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2018-05-12 |