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Organization
BOSSOLINA DDS PLLC
Active
Organization
BOSSOLINA DDS PLLC
Active
Other names
Center City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH BOSSOLINA JR. DDS (OWNER)
(248) 979-4323
Entity
Organization
Contact information
Practice address
400 SOUTH TRYON STREET, SUITE M-4, CHARLOTTE, NC 28202
(704) 376-5950
Mailing address
400 SOUTH TRYON STREET, SUITE M-4, CHARLOTTE, NC 28202
(704) 376-5950
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013205368
PERSONAL, NOT BUSINESS NPI
—
Enumeration date
03/30/2018
Last updated
02/08/2019
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