Individual
DR. KATRINA LAVALLIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
118 S COLONIAL AVE UNIT B, CHARLOTTE, NC 28207-1465
(704) 332-6200
Mailing address
118 S COLONIAL AVE STE B, CHARLOTTE, NC 28207-1465
(704) 962-4215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11384
NC
Other
Enumeration date
06/05/2019
Last updated
05/16/2024
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