Lake Norman Cosmetic and Restorative Dentistry
NPI #1760613764 in Mooresville, North Carolina
Provider Information
- NPI Number
- 1760613764
- Entity Type
- Organization
- Organization Name
- Lake Norman Cosmetic and Restorative Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 7, 2009
- Last Updated
- Aug 7, 2009
Practice Location
- Address
- 631 BRAWLEY SCHOOL RD
- Address 2
- SUITE 500
- City
- Mooresville
- State
- North Carolina
- ZIP Code
- 28117-6204
- Phone
- (704) 664-7774
Authorized Official
- Name
- MRS. CHRISTINE JANELLE DROUIN
- Title
- SECRETARY OF CORPORATION
- Phone
- (704) 763-7665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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