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Individual

DR. ALFRED KENNETH STOCKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS DENTIST

Contact information

Practice address
3535 RANDOLPH ROAD, SUITE 200 RANDOLPH MEDICAL PARK, CHARLOTTE, NC 28211
(704) 364-1191
(704) 364-1185
Mailing address
3535 RANDOLPH ROAD, SUITE 200 RANDOLPH MEDICAL PARK, CHARLOTTE, NC 28211
(704) 364-1191
(704) 364-1185

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4153
NC
1223G0001X
General Practice Dentistry
DN 6511
FL

Other

Enumeration date
09/27/2006
Last updated
07/08/2007
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