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Individual

MOLLYE VICK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5641 POPLAR TENT RD, STE 203, CONCORD, NC 28027
(704) 793-4211
(704) 793-4210
Mailing address
5641 POPLAR TENT RD, STE 203, CONCORD, NC 28027
(704) 793-4211
(704) 793-4210

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7049
NC

Other

Enumeration date
05/03/2006
Last updated
07/08/2007
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