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Individual

DONNA DENISE ALEXANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
136 FAIRVIEW RD., SUITE 100, MOORESVILLE, NC 28117-9500
(704) 662-0021
(704) 662-0026
Mailing address
14017 PROMENADE DR, HUNTERSVILLE, NC 28078-6684

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
6645
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5902068
NC
Enumeration date
10/31/2006
Last updated
12/05/2012
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