Organization
DENTIST IN CONCORD LLC
Active
Other names
DENTIST IN CONCORD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SREEKANTH REDDY EMANI DDS (PRESIDENT)
(803) 830-6881
Entity
Organization
Contact information
Practice address
2460 WONDER DR STE C, KANNAPOLIS, NC 28083-6690
(803) 233-6141
Mailing address
105 SALUDA POINTE DR STE C, LEXINGTON, SC 29072-6786
(803) 399-8236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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