| Total Dental Care Of Lake Norman | |
|
134 N Magnolia St Mooresville NC 28115-2587 | |
| (704) 663-1800 | |
| (704) 662-9569 |
| Full Name | Total Dental Care Of Lake Norman |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 134 N Magnolia St, Mooresville, North Carolina |
| Authorized Official Name and Position | Ronnie G Davidson (MANAGER) |
| Authorized Official Contact | 7046631800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Dental Care Of Lake Norman 134 N Magnolia St Mooresville NC 28115-2587 Ph: (704) 663-1800 | Total Dental Care Of Lake Norman 134 N Magnolia St Mooresville NC 28115-2587 Ph: (704) 663-1800 |
| NPI Number | 1205257839 |
|---|---|
| Provider Enumeration Date | 12/28/2013 |
| Last Update Date | 12/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205257839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7363 (North Carolina) | Primary |
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