Organization
KATHRYN J SUDIKOFF DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN SUDIKOFF (OWNER)
(704) 632-9922
Entity
Organization
Contact information
Practice address
1315 EAST BLVD, CHARLOTTE, NC 28203-5975
(704) 632-9922
Mailing address
1315 EAST BLVD, CHARLOTTE, NC 28203-5975
(704) 332-6208
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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