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Organization

CHERRYVILLE DENTAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL HUNTER CLONINGER DDS (OWNER)
(704) 435-6916
Entity
Organization

Contact information

Practice address
106 N MOUNTAIN ST, CHERRYVILLE, NC 28021-2941
(704) 435-6916
(704) 435-6811
Mailing address
1015 E CHURCH ST, CHERRYVILLE, NC 28021-2916
(704) 435-6916
(704) 435-6811

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7118
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
899013A
NC
Enumeration date
12/21/2007
Last updated
09/05/2013
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