Individual
REA MADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13425 HOOVER CREEK BLVD STE 204, CHARLOTTE, NC 28273-0170
(980) 999-5007
Mailing address
13425 HOOVER CREEK BLVD STE 204, CHARLOTTE, NC 28273-0170
(980) 999-5007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14138
NC
Other
Enumeration date
03/27/2023
Last updated
07/24/2025
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