Great Smiles Dental Group
NPI #1548615511 in Matthews, North Carolina
Provider Information
- NPI Number
- 1548615511
- Entity Type
- Organization
- Organization Name
- Great Smiles Dental Group
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 27, 2016
- Last Updated
- Aug 10, 2016
Practice Location
- Address
- 15060 IDLEWILD RD
- Address 2
- ST F
- City
- Matthews
- State
- North Carolina
- ZIP Code
- 28104-3602
- Phone
- (704) 893-0351
Authorized Official
- Name
- MITESH B DHULAB, DMD
- Title
- OWNER
- Phone
- (704) 893-0351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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