# BELLASERA FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1477212421
- **Authorized official:** RYAN K HUKILL DDS (PARTNER)
- **Authorized official phone:** (704) 321-7929

## Contact information

- **Practice address:** 3041 SENNA DR, MATTHEWS, NC 28105-6727
- **Practice address phone:** (704) 321-7929
- **Practice address fax:** (704) 321-2908
- **Mailing address:** 3041 SENNA DR, MATTHEWS, NC 28105-6727
- **Mailing address phone:** (704) 321-7929
- **Mailing address fax:** (704) 321-2908

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2021
- **Last updated:** 12/16/2021