Organization
KERRY A. DOVE, DMD MS, PLLC
Active
Other names
Concord Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY ANZENBERGER DOVE DMD MS (PEDIATRIC DENTIST)
(704) 795-2300
Entity
Organization
Contact information
Practice address
5641 POPLAR TENT RD, CONCORD, NC 28027-7533
(704) 795-2300
(704) 795-2301
Mailing address
5641 POPLAR TENT RD, CONCORD, NC 28027-7533
(704) 795-2300
(704) 795-2301
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8845
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942430939
—
NC
Enumeration date
09/30/2014
Last updated
09/30/2014
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