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Organization
KATRINA M. LAVALLIERE, D.D.S, P.L.L.C.
Active
Organization
KATRINA M. LAVALLIERE, D.D.S, P.L.L.C.
Active
Other names
Lavalliere Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATRINA LAVALLIERE DDS (OWNER DENTIST)
(704) 962-4215
Entity
Organization
Contact information
Practice address
118 S COLONIAL AVE UNIT B, CHARLOTTE, NC 28207-1465
(704) 332-6200
Mailing address
7318 EASEN CT, CHARLOTTE, NC 28211-6110
(704) 962-4215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/20/2024
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