Charlotte Broughton, Dds | |
140 Lockland Ave Winston Salem NC 27103-2709 | |
(336) 722-7534 | |
(336) 722-4518 |
Full Name | Charlotte Broughton, Dds |
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Speciality | Dentist |
Location | 140 Lockland Ave, Winston Salem, North Carolina |
Authorized Official Name and Position | Lee T Dixon (OFFICE MANAGER) |
Authorized Official Contact | 3367227534 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charlotte Broughton, Dds 140 Lockland Ave Winston Salem NC 27103-2709 Ph: (336) 722-7534 | Charlotte Broughton, Dds 140 Lockland Ave Winston Salem NC 27103-2709 Ph: (336) 722-7534 |
NPI Number | 1003089111 |
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Provider Enumeration Date | 04/09/2008 |
Last Update Date | 06/30/2008 |
Identifier | Type | State | Issuer |
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1003089111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7114 (North Carolina) | Primary |
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