Organization
STEPHEN A. RENDULICH, DDS, PA
Active
Other names
The Center For Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LORA SIGMON (OFFICE ADMINISTRATOR)
(704) 875-8833
Entity
Organization
Contact information
Practice address
10210 HICKORYWOOD HILL AVE, SUITE 200, HUNTERSVILLE, NC 28078-3332
(704) 875-8833
(704) 875-0303
Mailing address
10210 HICKORYWOOD HILL AVE, SUITE 200, HUNTERSVILLE, NC 28078-3332
(704) 875-8833
(704) 875-0303
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7749
NC
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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