# M YAGHI DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770642803
- **Authorized official:** MR. AHMAD K HUSSEIN (GENERAL MANAGER)
- **Authorized official phone:** (704) 548-8563

## Contact information

- **Practice address:** 10700 KETTERING DR, SUITE A, CHARLOTTE, NC 28226-3770
- **Practice address phone:** (704) 540-5440
- **Mailing address:** 10700 KETTERING DR, SUITE A, CHARLOTTE, NC 28226-3770
- **Mailing address phone:** (704) 540-5440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6897 | NC | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 08/22/2020