South Park Oral Surgery
NPI #1003502519 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1003502519
- Entity Type
- Organization
- Organization Name
- South Park Oral Surgery
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 17, 2023
- Last Updated
- Apr 17, 2023
Practice Location
- Address
- 2719 COLTSGATE RD
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28211-3502
- Phone
- (704) 366-8707
Authorized Official
- Name
- DR. KEVIN P BOND
- Title
- DENTIST/OWNER
- Phone
- (704) 366-8707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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