Organization Name: | KEVIN J. ARMBRECHT, D.D.S., P.A. |
NPI Number: | 1265648091 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN J. ARMBRECHT (PRESIDENT) |
Mailing Address: | 330 Hospital St Mocksville |
State: | NC US |
Postal Code: | 270282061 |
Phone Number: | 3367516291 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 3866 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |