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Organization

TERRY E. CALLISON, D.D.S., M.S., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY E. CALLISON DDS, MS (PRESIDENT)
(704) 237-9022
Entity
Organization

Contact information

Practice address
19410 JETTON RD, SUITE 210, CORNELIUS, NC 28031-4411
(704) 237-9022
(704) 237-9025
Mailing address
19410 JETTON RD, SUITE 210, CORNELIUS, NC 28031-4411
(704) 237-9022
(704) 237-9025

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7706
NC

Other

Enumeration date
11/09/2007
Last updated
11/09/2007
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