Individual
JOANNIS TERRY SITARAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
442 WINGRAVE DR, CHARLOTTE, NC 28270-5928
(704) 942-5521
Mailing address
442 WINGRAVE DR, CHARLOTTE, NC 28270-5928
(704) 942-5521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11530
NC
1223G0001X
General Practice Dentistry
11530
NC
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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