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Organization
SOUTHLAKE FAMILY AND COSMETIC DENTISTRY
Active
Organization
SOUTHLAKE FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON YURA DDS (DENTIST)
(704) 987-0505
Entity
Organization
Contact information
Practice address
9625 NORTHCROSS CENTER CT, HUNTERSVILLE, NC 28078-7348
(704) 987-0505
(704) 655-8655
Mailing address
9625 NORTHCROSS CENTER CT, HUNTERSVILLE, NC 28078-7348
(704) 987-0505
(704) 655-8655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8439
NC
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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