Individual
DR. ROBERT EDWARD WIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5232 ALBEMARLE RD, SUITE C, CHARLOTTE, NC 28212-2659
(704) 536-6774
(704) 536-5998
Mailing address
5232 ALBEMARLE RD, SUITE C, CHARLOTTE, NC 28212-2659
(704) 536-6774
(704) 536-5998
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5062
NC
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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