| Gastonia Pediatric Dentistry | |
|
1367 E Garrison Blvd Ste B Gastonia NC 28054-5144 | |
| (980) 320-8479 | |
| Not Available |
| Full Name | Gastonia Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1367 E Garrison Blvd Ste B, Gastonia, North Carolina |
| Authorized Official Name and Position | Laetitia Sery (DENTIST/OWNER) |
| Authorized Official Contact | 7048600945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastonia Pediatric Dentistry 1367 E Garrison Blvd Ste B Gastonia NC 28054-5144 Ph: () - | Gastonia Pediatric Dentistry 1367 E Garrison Blvd Ste B Gastonia NC 28054-5144 Ph: (980) 320-8479 |
| NPI Number | 1679004584 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 03/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679004584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8474 (North Carolina) | Primary |
Farid Hanachi Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1377a E Garrison Blvd, Gastonia, NC 28054 Phone: 704-865-9889 Fax: 704-864-2966 | |
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