Individual
DR. JULIE CUSTRED SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4901 N TRYON ST, UNIT A, CHARLOTTE, NC 28213-7076
(704) 921-0204
Mailing address
4901 N TRYON ST, UNIT A, CHARLOTTE, NC 28213-7076
(704) 921-0204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5764
AL
1223P0221X
Pediatric Dentistry
Primary
10515
NC
Other
Enumeration date
07/10/2010
Last updated
09/07/2016
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