Organization
JOHN L. CLONINGER, DDS. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCY H HOUSER (OFFICE MANAGER)
(704) 732-3336
Entity
Organization
Contact information
Practice address
640 S MAGNOLIA ST, LINCOLNTON, NC 28092-3736
(704) 732-3336
Mailing address
640 S MAGNOLIA ST, LINCOLNTON, NC 28092-3736
(704) 732-3336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991675
—
NC
Enumeration date
12/28/2007
Last updated
12/28/2007
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