| NPI | 1932387719 |
|---|---|
| Doing Business As | OPEN DOOR DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT E MARTIN CFO 704-874-3313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2011-08-17 |