Organization
SANDY M STOVALL, DDS, PLLC
Active
Other names
Sandra M Stovall, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA MARIA STOVALL DDS (OWNER)
(704) 549-5600
Entity
Organization
Contact information
Practice address
8420 MEDICAL PLAZA DR, SUITE 100, CHARLOTTE, NC 28262-9748
(704) 549-5600
Mailing address
8420 MEDICAL PLAZA DR, SUITE 100, CHARLOTTE, NC 28262-9748
(704) 549-5600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6750
NC
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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