Individual
DR. MICHAEL J BOSSOLINA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 S TRYON ST STE M3, CHARLOTTE, NC 28285-0102
(704) 376-5950
Mailing address
400 S TRYON ST STE M3, CHARLOTTE, NC 28285-0102
(704) 376-5950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10133
NC
Other
Enumeration date
07/20/2011
Last updated
01/02/2023
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