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Organization
BROOKDALE DENTAL CARE
Active
Organization
BROOKDALE DENTAL CARE
Active
Other names
Kong Vang DMD,PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KONG VANG DMD (DENTIST)
(704) 597-7772
Entity
Organization
Contact information
Practice address
9621 BROOKDALE DR STE 200, CHARLOTTE, NC 28215-8786
(704) 597-7772
(704) 597-7078
Mailing address
9621 BROOKDALE DR STE 200, CHARLOTTE, NC 28215-8786
(704) 597-7772
(704) 597-7078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7388
NC
Other
Enumeration date
06/07/2007
Last updated
04/09/2008
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