Wake Cross Roads Dentistry

NPI 1063700334 - Dentist - 1223G0001X

NPI Details
NPI 1063700334
Enumeration Date 07/20/2011
Last Updated 07/21/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DAVID CONRAD DAVID
Position DENTIST/OWNER
Phone (704) 304-5513
Fax
Practice Location
2303 W MOREHEAD ST
SUITE 103
CHARLOTTE NC, 28208-5186, US
Phone (704) 304-5513
Fax
Business Location
2303 W MOREHEAD ST
SUITE 103
CHARLOTTE NC, 28208-5186, US
Phone (704) 304-5513
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State North Carolina
License Number 4010
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According to our database, Wake Cross Roads Dentistry NPI is 1063700334, taxonomy code is 1223G0001X and license number is 4010, license state is located at North Carolina. Wake Cross Roads Dentistry physically located at 2303 W Morehead St, Charlotte NC, 28208-5186. NPI Number 1033115704 has the healthcare provider type.

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1063700334 NPI number is provided on an as is basis without warranty of any kind. 1063700334 is maintained by the National Plan & Provider Enumeration System. The contents of Wake Cross Roads Dentistry are for informational purposes only.