Organization
DAVID WOOLSTON DDS PLLC
Active
Other names
Webber Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD DANIEL SERRAO (CHIEF OPERATIONS OFFICER)
(980) 316-7102
Entity
Organization
Contact information
Practice address
2120 DR WEBBER AVE, CHARLOTTE, NC 28216-4898
(704) 392-9357
Mailing address
2120 DR WEBBER AVE, CHARLOTTE, NC 28216-4898
(704) 392-9357
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899533
—
NC
Enumeration date
11/15/2021
Last updated
11/15/2021
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