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Organization

CAROLINAS CENTER FOR ORAL HEALTH

Active
Parent organization
CAROLINAS HEALTHCARE SYSTEM
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINAS HEALTHCARE SYSTEM
Authorized official
MR. MICHAEL JOHN VANDERBAAN (OPERATIONS MANAGER)
(704) 512-2117
Entity
Organization

Contact information

Practice address
1601 ABBEY PL, SUITE 220, CHARLOTTE, NC 28209-3835
(704) 512-2110
(704) 512-2115
Mailing address
1601 ABBEY PL, SUITE 220, CHARLOTTE, NC 28209-3835
(704) 512-2110
(704) 512-2115

Taxonomy

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

Other

Enumeration date
03/04/2009
Last updated
12/21/2011
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