Organization
LUIS A. CHAMORRO, DMD, MPH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ANTONIO CHAMORRO DMD, MPH (PRESIDENT)
(704) 341-3636
Entity
Organization
Contact information
Practice address
11535 CARMEL COMMONS BLVD, SUITE 205, CHARLOTTE, NC 28226-5313
(704) 341-3636
Mailing address
11535 CARMEL COMMONS BLVD, SUITE 205, CHARLOTTE, NC 28226-5313
(704) 341-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7743
NC
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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