Organization
UNIVERSITY DENTAL ASSOCIATES CLEMMONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MOLLER (DATA BASE ADMI)
(704) 549-1509
Entity
Organization
Contact information
Practice address
6201 TOWNCENTER DR, SUITE 130, CLEMMONS, NC 27012-9383
(704) 549-1509
Mailing address
6201 TOWNCENTER DR, SUITE 130, CLEMMONS, NC 27012-9383
(704) 549-1509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NC
Other
Enumeration date
02/07/2008
Last updated
07/21/2022
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