Kintegra Pediatric Dentistry - Gastonia | |
890 Summit Crossing Pl Gastonia NC 28054-2192 | |
(704) 874-0377 | |
(704) 671-1404 |
Full Name | Kintegra Pediatric Dentistry - Gastonia |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 890 Summit Crossing Pl, Gastonia, North Carolina |
Authorized Official Name and Position | Sharmila Alexander Anderson (BUSINESS SERVICE ADMINISTRATOR) |
Authorized Official Contact | 7048741907 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kintegra Pediatric Dentistry - Gastonia 991 W Hudson Blvd Gastonia NC 28052-6430 Ph: (704) 874-0377 | Kintegra Pediatric Dentistry - Gastonia 890 Summit Crossing Pl Gastonia NC 28054-2192 Ph: (704) 874-0377 |
NPI Number | 1992335145 |
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Provider Enumeration Date | 01/16/2020 |
Last Update Date | 02/18/2020 |
Identifier | Type | State | Issuer |
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1992335145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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