Organization
GASTON FAMILY HEALTH SERVICES
Active
Parent organization
GASTON FAMILY HEALTH SERVICES
Other names
Open Door Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTON FAMILY HEALTH SERVICES
Authorized official
MR. ROBERT E MARTIN (CFO)
(704) 874-3313
Entity
Organization
Contact information
Practice address
991 WEST HUDSON BLVD, GASTONIA, NC 28052
(704) 853-5191
(704) 853-5131
Mailing address
991 WEST HUDSON BLVD, GASTONIA, NC 28052
(704) 853-5191
(704) 853-5131
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
08/17/2011
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