Individual
ELIZABETH ZEKAN PETRYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2915 COLTSGATE RD STE 100, CHARLOTTE, NC 28211-3883
(704) 365-6505
(704) 365-8584
Mailing address
2200 PROVIDENCE CANYON DR, CHARLOTTE, NC 28270-1962
(704) 562-1959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6110
NC
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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