# LAKE NORMAN COSMETIC AND RESTORATIVE DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hoang H Drouin, DMD, PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760613764
- **Authorized official:** MRS. CHRISTINE JANELLE DROUIN (SECRETARY OF CORPORATION)
- **Authorized official phone:** (704) 763-7665

## Contact information

- **Practice address:** 631 BRAWLEY SCHOOL RD, SUITE 500, MOORESVILLE, NC 28117-6204
- **Practice address phone:** (704) 664-7774
- **Practice address fax:** (704) 660-0575
- **Mailing address:** 631 BRAWLEY SCHOOL RD, SUITE 500, MOORESVILLE, NC 28117-6204
- **Mailing address phone:** (704) 664-7774
- **Mailing address fax:** (704) 660-0575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6624 | NC | Yes |

## Other

- **Enumeration date:** 08/07/2009
- **Last updated:** 08/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1174741003 | INDIVIDUAL NPI FOR HOANG H DROUIN, DMD | — |
| 05 | — | 899008U | — | NC |