| |
491 Williamson Rd Suite 208 Mooresville NC 28117-9252 | |
(704) 380-2112 | |
(704) 696-8047 |
Full Name | |
---|---|
Speciality | Dentist - Endodontics |
Location | 491 Williamson Rd, Mooresville, North Carolina |
Authorized Official Name and Position | Roksolyana Zaboloyna-kutuza (MANAGER) |
Authorized Official Contact | 7043802112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
491 Williamson Rd Suite 208 Mooresville NC 28117-9252 Ph: (704) 380-2112 | 491 Williamson Rd Suite 208 Mooresville NC 28117-9252 Ph: (704) 380-2112 |
NPI Number | 1346646460 |
---|---|
Provider Enumeration Date | 11/17/2014 |
Last Update Date | 02/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346646460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 9945 (North Carolina) | Primary |
Rivera & Associates, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Statesville Ave, Mooresville, NC 28115 Phone: 704-816-1401 | |
Drs Groody And Reimels Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Rocky River Rd, Mooresville, NC 28115 Phone: 704-782-2630 | |
K. Jasinski, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Kistler Farm Rd Ste 5, Mooresville, NC 28115 Phone: 980-528-4180 Fax: 980-528-4178 | |