Individual
YASSER KHALED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 BLYTHE BLVD, CMC DENTAL CLINIC, CHARLOTTE, NC 28203-5812
(704) 355-2165
Mailing address
1000 BLYTH BOULVARD, CMC DENTAL CLINIC, CHARLOTTE, NC 28203-5812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
151029
NC
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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