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Organization
STEPHEN J. ROUSE DMD MS PLLC
Active
Organization
STEPHEN J. ROUSE DMD MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JAMES ROUSE DMD (MANAGER)
(704) 366-2001
Entity
Organization
Contact information
Practice address
309 S SHARON AMITY RD, SUITE #306, CHARLOTTE, NC 28211-2978
(704) 366-2001
(704) 366-4990
Mailing address
309 S SHARON AMITY RD, SUITE #306, CHARLOTTE, NC 28211-2978
(704) 366-2001
(704) 366-4990
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8216
NC
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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