# CEDAR WALK FAMILY AND COSMETIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154581932
- **Authorized official:** DR. PRASHANT RAVI RAO D.D.S. (OWNER)
- **Authorized official phone:** (704) 443-7379

## Contact information

- **Practice address:** 16615 RIVERSTONE WAY, SUITE 200, CHARLOTTE, NC 28277-5746
- **Practice address phone:** (704) 542-9923
- **Mailing address:** 2434 GRIMMERSBOROUGH LN, CHARLOTTE, NC 28270-3714
- **Mailing address phone:** (704) 443-7379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8322 | NC | Yes |

## Other

- **Enumeration date:** 06/15/2008
- **Last updated:** 06/15/2008