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Organization

DR FRANK KENDRICK DMD-HUNTERSVILLE PA

Active
Other names
South Lake Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. YAIMARA DIAZ (OFFICE MANAGER)
(704) 875-9075
Entity
Organization

Contact information

Practice address
9625 NORTHCROSS CENTER CT, SUITE: 101, HUNTERSVILLE, NC 28078-7348
(704) 875-9075
Mailing address
9625 NORTHCROSS CENTER CT, SUITE: 101, HUNTERSVILLE, NC 28078-7348

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7221
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386752061
NC
Enumeration date
10/05/2012
Last updated
10/05/2012
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