Coleman and Dastrup Pllc
NPI #1649933490 in Davidson, North Carolina
Provider Information
- NPI Number
- 1649933490
- Entity Type
- Organization
- Organization Name
- Coleman and Dastrup Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 19, 2021
- Last Updated
- Oct 19, 2021
Practice Location
- Address
- 460 S MAIN ST STE 101
- City
- Davidson
- State
- North Carolina
- ZIP Code
- 28036-8006
- Phone
- (704) 896-5850
Authorized Official
- Name
- MRS. ANDREA LEIGHT ST-CYR
- Title
- PATIENT COORDINATOR
- Phone
- (704) 896-5850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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