Individual
MARISOL SASTOQUE-TILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11030 GOLF LINKS DR STE 201, CHARLOTTE, NC 28277-8047
(704) 321-0414
Mailing address
11030 GOLF LINKS DR STE 201, CHARLOTTE, NC 28277-8047
(704) 321-0414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10141
NC
Other
Enumeration date
06/19/2014
Last updated
09/16/2022
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