Individual
DR. PRASHANT RAVI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6708 ALBERMARLE RD, CHARLOTTE, NC 28212
(704) 537-1990
(704) 531-2757
Mailing address
202 E WOODLAWN RD, STE 114, CHARLOTTE, NC 28217-2213
(704) 522-1550
(704) 522-1558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8322
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8322
LICENSE
NC
Enumeration date
09/18/2007
Last updated
03/07/2023
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