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Organization
JOHN WALSH DDS PA
Active
Organization
JOHN WALSH DDS PA
Active
Other names
Dentistry of the Carolinas
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA JOHNSTON (OPERATIONS MANAGER)
(704) 522-1550
Entity
Organization
Contact information
Practice address
1711 MONTFORD DR, CHARLOTTE, NC 28209-3721
(704) 527-2440
(704) 527-2406
Mailing address
5821 FAIRVIEW RD, STE 220, CHARLOTTE, NC 28209-5601
(704) 522-1550
(704) 522-1558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4305
NC
Other
Enumeration date
09/21/2012
Last updated
08/28/2013
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