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Organization

WAKE CROSS ROADS DENTISTRY

Active
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Organization

WAKE CROSS ROADS DENTISTRY

Active
Other names
D.D. Family Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID CONRAD DILLARD D.D.S. (DENTIST/OWNER)
(919) 802-8508
Entity
Organization

Contact information

Practice address
2303 W MOREHEAD ST, SUITE 103, CHARLOTTE, NC 28208-5186
(704) 304-5513
Mailing address
2303 W MOREHEAD ST, SUITE 103, CHARLOTTE, NC 28208-5186
(704) 304-5513

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4010
NC
1223G0001X
General Practice Dentistry
Primary
7970
NC

Other

Enumeration date
07/20/2011
Last updated
07/21/2011
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