Organization
PEDIATRIC DENTISTRY OF WESLEY CHAPEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT GOODMAN (PRESIDENT)
(704) 496-9246
Entity
Organization
Contact information
Practice address
5941 WEDDINGTON RD, SUITE 103, WESLEY CHAPEL, NC 28104-6289
(704) 496-9246
(704) 684-8059
Mailing address
5941 WEDDINGTON RD, SUITE 103, WESLEY CHAPEL, NC 28104-6289
(704) 496-9246
(704) 684-8059
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NC
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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