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Organization
GASTON FAMILY HEALTH SERVICES INC
Active
Organization
GASTON FAMILY HEALTH SERVICES INC
Active
Other names
Dental Services
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE STUBBS (EXECUTIVE ASSISTANT)
(704) 853-5294
Entity
Organization
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5079
(704) 862-5383
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5079
(704) 862-5383
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890256H
—
NC
Enumeration date
03/02/2011
Last updated
03/02/2011
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