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Organization

KENITRA C. RICHARDSON, DMD, PLLC

Active
Other names
Peace Haven Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
KENITRA RICHARDSON DMD (DENTIST/OWNER/MANAGER)
(336) 314-8535
Entity
Organization

Contact information

Practice address
10215 PROSPERITY PARK DR STE 220, CHARLOTTE, NC 28269-1103
(980) 423-1144
Mailing address
10215 PROSPERITY PARK DR STE 220, CHARLOTTE, NC 28269-1103
(980) 423-1144
(980) 423-1188

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/29/2021
Last updated
11/29/2021
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