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331 Indian Trail Rd N Indian Trail NC 28079-7624 | |
| (704) 684-0195 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 331 Indian Trail Rd N, Indian Trail, North Carolina |
| Authorized Official Name and Position | Lisa Saxer (OFFICE MANAGER) |
| Authorized Official Contact | 7045499922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
331 Indian Trail Rd N Indian Trail NC 28079-7624 Ph: (704) 684-0195 | 331 Indian Trail Rd N Indian Trail NC 28079-7624 Ph: (704) 684-0195 |
| NPI Number | 1518327634 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 03/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518327634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (North Carolina) | Primary |
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