Individual
DR. RICHARD E OFFUTT III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6719 FAIRVIEW RD, CHARLOTTE, NC 28210-3323
(704) 366-2774
(704) 366-2639
Mailing address
6719 FAIRVIEW RD, CHARLOTTE, NC 28210-3323
(704) 366-2774
(704) 366-2639
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4673
NC
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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