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Organization

LUCKHARDT, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA L MILLARD DMD (DENTIST)
(336) 314-0873
Entity
Organization

Contact information

Practice address
10801 WOODLAND BEAVER ROAD, SUITE 101, CHARLOTTE, NC 28215
(704) 888-0607
Mailing address
10801 WOODLAND BEAVER RD STE 101, CHARLOTTE, NC 28215-5177
(704) 888-0607

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10124
NC

Other

Enumeration date
06/16/2018
Last updated
10/11/2024
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