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Organization
MICHAEL O. GIVENS, DDS, PLLC
Active
Organization
MICHAEL O. GIVENS, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ODELL GIVENS D.D.S. (PRESIDENT)
(704) 536-2299
Entity
Organization
Contact information
Practice address
6608 E HARRIS BLVD, SUITE G, CHARLOTTE, NC 28215-5127
(704) 536-2299
(704) 537-3562
Mailing address
6608 E HARRIS BLVD, SUITE G, CHARLOTTE, NC 28215-5127
(704) 536-2299
(704) 537-3562
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993226
—
NC
Enumeration date
01/24/2008
Last updated
01/24/2008
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