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Organization

SLADJANA BJELAC DDS PLLC

Active
Parent organization
SLADJANA BJELAC DDS PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SLADJANA BJELAC DDS PLLC
Authorized official
SLADJANA BJELAC DDS (OWNER/DENTIST)
(704) 701-7104
Entity
Organization

Contact information

Practice address
2701 COLTSGOUTE ROAD, SUITE 104, CHARLOTTE, NC 28211
(980) 224-2336
(980) 224-2336
Mailing address
2701 COLTSGOUTE ROAD, SUITE 104, CHARLOTTE, NC 28211

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
General Practice Dentistry

Other

Enumeration date
06/28/2022
Last updated
06/28/2022
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