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Organization
NORWOOD, LASSITER AND ASSOCIATES
Active
Organization
NORWOOD, LASSITER AND ASSOCIATES
Active
Other names
Norwood Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID LASSITER SR. DDS (OWNER)
(704) 474-3152
Entity
Organization
Contact information
Practice address
311 SOUTH MAIN STREET, NORWOOD, NC 28128
(704) 474-3152
(704) 474-0274
Mailing address
PO BOX 859, 311 SOUTH MAIN STREET, NORWOOD, NC 28128
(704) 474-3152
(704) 474-0274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6451
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995126
—
NC
05
—
8996468
—
NC
Enumeration date
04/02/2008
Last updated
04/02/2008
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