Individual
MATTHEW ROBERT DENGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, MS, RDN, LDN
Contact information
Practice address
2210 HAWKINS ST, CHARLOTTE, NC 28203-4930
(585) 472-0071
Mailing address
6633 CENTRAL PACIFIC AVE, CHARLOTTE, NC 28210-4799
(585) 472-0071
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005405
NC
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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