Individual
BRIAN PATRICK RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 BLYTHE BLVD, ANNEX BLDG 2ND FLOOR, CHARLOTTE, NC 28203-5812
(704) 355-2165
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11751
NC
Other
Enumeration date
03/25/2019
Last updated
03/09/2023
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