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Organization
KENITRA C. RICHARDSON, DMD, PLLC
Active
Organization
KENITRA C. RICHARDSON, DMD, PLLC
Active
Other names
Peace Haven Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
KENITRA RICHARDSON DMD (DENTIST/OWNER/MANAGER)
(336) 314-8535
Entity
Organization
Contact information
Practice address
10215 PROSPERITY PARK DR STE 220, CHARLOTTE, NC 28269-1103
(980) 423-1144
Mailing address
10215 PROSPERITY PARK DR STE 220, CHARLOTTE, NC 28269-1103
(980) 423-1144
(980) 423-1188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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