Organization
RICHARD J. KINCAID DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J. KINCAID DDS (PRESIDENT)
(704) 365-0006
Entity
Organization
Contact information
Practice address
3749 LATROBE DR, CHARLOTTE, NC 28211-1164
(704) 365-0006
(704) 365-0007
Mailing address
3749 LATROBE DR, CHARLOTTE, NC 28211-1164
(704) 365-0006
(704) 365-0007
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4079
NC
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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