Robert G Bookholt, Dds, Pa | |
11349 Bain School Rd Charlotte NC 28227-7536 | |
(704) 545-3109 | |
(704) 573-9542 |
Full Name | Robert G Bookholt, Dds, Pa |
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Speciality | Clinic/center - Dental |
Location | 11349 Bain School Rd, Charlotte, North Carolina |
Authorized Official Name and Position | Robert Glen Bookholt (PREIDENT) |
Authorized Official Contact | 7045453109 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert G Bookholt, Dds, Pa 11349 Bain School Rd Charlotte NC 28227-7536 Ph: (704) 545-3109 | Robert G Bookholt, Dds, Pa 11349 Bain School Rd Charlotte NC 28227-7536 Ph: (704) 545-3109 |
NPI Number | 1811065279 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1811065279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 3531 (North Carolina) | Primary |
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