Individual
DR. MARVIN RYAN DOMONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
201 PROVIDENCE RD, CHARLOTTE, NC 28207-1417
(704) 376-6470
(704) 496-2914
Mailing address
201 PROVIDENCE RD, CHARLOTTE, NC 28207-1417
(704) 376-6470
(704) 496-2914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8341
NC
Other
Enumeration date
05/03/2007
Last updated
12/31/2009
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