Organization
S. ROSS PENLAND DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ROSS PENLAND (PRESIDENT)
(828) 855-3779
Entity
Organization
Contact information
Practice address
1781 TATE BLVD SE, HICKORY, NC 28602-4251
(828) 855-3779
(828) 855-3781
Mailing address
1781 TATE BLVD SE, HICKORY, NC 28602-4251
(828) 855-3779
(828) 855-3781
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9170
NC
Other
Enumeration date
04/23/2013
Last updated
01/13/2014
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