Pro Dental | |
5409 Potter Rd. #100 Stallings NC 28104 | |
(704) 573-1198 | |
Not Available |
Full Name | Pro Dental |
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Speciality | Dentist - General Practice |
Location | 5409 Potter Rd., Stallings, North Carolina |
Authorized Official Name and Position | James J Park (PRESIDENT) |
Authorized Official Contact | 7045731198 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pro Dental 4520 Mint Hill Village Ln Unit 107 Mint Hill NC 28227-7796 Ph: (704) 573-1198 | Pro Dental 5409 Potter Rd. #100 Stallings NC 28104 Ph: (704) 573-1198 |
NPI Number | 1033461967 |
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Provider Enumeration Date | 10/02/2012 |
Last Update Date | 10/02/2012 |
Identifier | Type | State | Issuer |
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1033461967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 8329 (North Carolina) | Primary |