Organization
KATRINA M. LAVALLIERE, D.D.S, P.L.L.C.
Active
Other names
Lavalliere Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATRINA LAVALLIERE DDS (OWNER DENTIST)
(704) 962-4215
Entity
Organization
Contact information
Practice address
118 S COLONIAL AVE UNIT B, CHARLOTTE, NC 28207-1465
(704) 332-6200
Mailing address
7318 EASEN CT, CHARLOTTE, NC 28211-6110
(704) 962-4215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/20/2024
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