| Gonsalves And Wolff, Dds Pllc | |
|
104 Waters Edge Ct Mooresville NC 28117-5513 | |
| (919) 619-4166 | |
| Not Available |
| Full Name | Gonsalves And Wolff, Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 104 Waters Edge Ct, Mooresville, North Carolina |
| Authorized Official Name and Position | Ryan E Gonsalves (OWNER) |
| Authorized Official Contact | 9196194166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonsalves And Wolff, Dds Pllc 104 Waters Edge Ct Mooresville NC 28117-5513 Ph: () - | Gonsalves And Wolff, Dds Pllc 104 Waters Edge Ct Mooresville NC 28117-5513 Ph: (919) 619-4166 |
| NPI Number | 1184858128 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184858128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8414 (North Carolina) | Primary |
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