| NPI | 1932411311 |
|---|---|
| Doing Business As | BEACON DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LILLIAN MICHELLE CONNER Owner 704-527-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ND 6133) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |