Individual
MICHAEL VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2226 N NC 16 BUSINESS HWY, DENVER, NC 28037-8254
(704) 766-8944
Mailing address
2300 SOUTH BLVD APT 521, CHARLOTTE, NC 28203-6483
(919) 621-2564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10641
NC
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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