Mount Holly Dentistry | |
126 W Charlotte Ave Mount Holly NC 28120-1776 | |
(704) 827-8446 | |
(704) 827-6131 |
Full Name | Mount Holly Dentistry |
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Speciality | Dentist |
Location | 126 W Charlotte Ave, Mount Holly, North Carolina |
Authorized Official Name and Position | Henry Vu (OWNER/PROVIDER) |
Authorized Official Contact | 7048278446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mount Holly Dentistry 126 W Charlotte Ave Mount Holly NC 28120-1776 Ph: (704) 827-8446 | Mount Holly Dentistry 126 W Charlotte Ave Mount Holly NC 28120-1776 Ph: (704) 827-8446 |
NPI Number | 1386047512 |
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Provider Enumeration Date | 10/02/2014 |
Last Update Date | 10/02/2014 |
Identifier | Type | State | Issuer |
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1386047512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 9449 (North Carolina) | Primary |
Raymond A. Jokubaitis, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 W Charlotte Ave, Mount Holly, NC 28120 Phone: 704-827-8446 Fax: 704-822-1069 |