# KATRINA M. LAVALLIERE, D.D.S, P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lavalliere Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437904075
- **Authorized official:** DR. KATRINA LAVALLIERE DDS (OWNER DENTIST)
- **Authorized official phone:** (704) 962-4215

## Contact information

- **Practice address:** 118 S COLONIAL AVE UNIT B, CHARLOTTE, NC 28207-1465
- **Practice address phone:** (704) 332-6200
- **Mailing address:** 7318 EASEN CT, CHARLOTTE, NC 28211-6110
- **Mailing address phone:** (704) 962-4215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2024
- **Last updated:** 04/20/2024