Organization
CHARLOTTE BROUGHTON, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEE T DIXON (OFFICE MANAGER)
(336) 722-7534
Entity
Organization
Contact information
Practice address
140 LOCKLAND AVE, WINSTON SALEM, NC 27103-2709
(336) 722-7534
(336) 722-4518
Mailing address
140 LOCKLAND AVE, WINSTON SALEM, NC 27103-2709
(336) 722-7534
(336) 722-4518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7114
NC
Other
Enumeration date
04/09/2008
Last updated
06/30/2008
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