Organization
JOHN RUOCCO & ASSOCIATES PA
Active
Other names
Promenade Center for Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RUOCCO DDS (PRESIDENT)
(704) 996-2245
Entity
Organization
Contact information
Practice address
10844 PROVIDENCE RD, SUITE 270, CHARLOTTE, NC 28277-3596
(704) 996-2245
Mailing address
1009 BALTUSROL LN, WAXHAW, NC 28173-9045
(704) 996-2245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7738
NC
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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