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Organization
PATRICIA A. STAINBACK, D.M.D., P.A.
Active
Organization
PATRICIA A. STAINBACK, D.M.D., P.A.
Active
Other names
Healthy Smiles Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HORACE STAINBACK JR. (SECRETARY/TREASURER)
(704) 720-0692
Entity
Organization
Contact information
Practice address
798 CHURCH ST N, CONCORD, NC 28025-4368
(704) 720-0692
(704) 720-0693
Mailing address
798 CHURCH ST N, CONCORD, NC 28025-4368
(704) 720-0692
(704) 720-0693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6637
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899001V
—
NC
Enumeration date
04/26/2007
Last updated
03/22/2010
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