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Organization
SUSAN M. MCKINLEY, DDS, PA
Active
Organization
SUSAN M. MCKINLEY, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MARIE MCKINLEY DDS (DENTIST)
(704) 867-7116
Entity
Organization
Contact information
Practice address
224 S NEW HOPE RD STE I, GASTONIA, NC 28054-4873
(704) 867-7116
(704) 854-9188
Mailing address
224 S NEW HOPE RD STE I, GASTONIA, NC 28054-4873
(704) 867-7116
(704) 854-9188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC6114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7995802
—
NC
Enumeration date
07/21/2006
Last updated
08/22/2020
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