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Individual

DR. STEPHEN JAMES ROUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
309 S SHARON AMITY RD STE 306, CHARLOTTE, NC 28211-2886
(704) 366-2001
Mailing address
309 S SHARON AMITY RD STE 306, CHARLOTTE, NC 28211-2886
(704) 366-2001

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2816
NC

Other

Enumeration date
04/20/2006
Last updated
07/08/2007
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